2004-780 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
Permit Number: P20040780 Date Issued: Wednesday, October 06, 2004
This is to certify that work requested to be done as shown by Permit Number P20040780
has been completed.
Tax Map Number: 523400-302-014-0001-067-000-0000
Location: 1 SPRUCE Ct
Owner: ELEANOR KRIHAK
Applicant: ELEANOR KRIHAK
This structure may be occupied as a:
By Order of Town Board
Septic Alteration Residential TOWN OF QUEENSBURY
GLv f"�
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20040780 Application Number. A20040780
Tax Map No: 523400-302-014-0001-067-000-0000
Permission is hereby granted to: ELE ANOR KRIHAK
For property located at: 1 SPRUCE Ct
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Tvue of Construction Value
Owner Address: ELEANOR KRIHAK
1 SPRUCE Ct Septic Alteration Residential
Total Value
QUEENSBURY,NY 12804
Contractor or Builders Name/Address . Electrical Inspection Agency
SANITARY SEWER
DAN DRF,LLOS
PO BOX 224
GLENS FALLS NY
Plans &Specifications
2004-780
SEPTIC ALTERATION
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, October 05,2005
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of` ee ury; Tu esd , tober 05,2004
SIGNED BY 64 for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit-Septic Disposal System
Town of Queensbury 742 Bay Road Queensbury,NY 12804 (518) 761-8256
1. OWNER INFORMATION:
................................................. ....................................................,....................
_ Office Use
Location of installation: / '��'�tJ G�= C
File Permit No. U ��
Tax Map No.
Fee Paid a
Owner's Name: ��cJ(� r�(Z t -
Address: J (l G� l ............
............................................................................................................................
2. INSTALLER'S NAME PHONE NO. 7902 7027
3. RESIDENCE INFORMATION: (circle year of dwelling, indicate#bedroom(s) and multiply #of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Commutation = Total Daily Flow
1980 or older x 150 gandrm = Y So
1980— 1991 x 130 gal/bdrm =
1991 —present x 110 gal/bdrm
Garbage Grinder Installed yes_ / no
Spa or Hot Tub Installed yes— ! no
4: PARCEL INFORMATION: (circle applicable information&indicate measurements)
TonoaraDhv SoiLNature Ground Water Bedrock or Impervious Material . Domas4rWaterSaply
Flat nd at what depth at what depth municipal
o z g loam feet feet we
Steep slope clay if well; water supply
�%slope other from any septic-system
depth: absorption is ft.
other
Percolation Test: (To be completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder,Spa or Whirlpool Tub.
6 � �93"J-i,,j 6
Septic Tank: ! 0 gallon (min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: ft.
Seepage Pit(s): number of size of each: ft. by ft.
Size of Stone to be used: # / depth or thickness feet
r
Bed System Size: x
Alternative System: length and/or size �-
6. HOLDING TANK SYSTEM: (if required)
Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System and associated electrical work must be inspected by a Town approved
electrical inspection agency.
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury, any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and agree to abide by these and all
require nts o e Town of Qu Sanitary Sewage Disposal Ordinance.
ignature of responsible person Date
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Septic Inspection Report
J�
Office No. (518)761-8256 Date Inspection®requrTe e
Queensbury Building&Code Enforcement Arrive: art: �� a742 Bay Rd., Queensbury,NY 1,2804 IInspector's InitiNAME: J• � `C�1 1 .:LOCATION: i (' , N: ce-a
RECHECK: J
Comments and/or diagram
Soil Typef San oam '1
Type of . Municip Weil Water
Waterline sephi7ation tance O ft.
Well separation distance ft.
Other wells: ft.
Absorption Field: Total length ft.
Length of each trench ft.
Depth of trenches - ft.
Size of Stone
Seepage Pits: Number
Size: x
Stone Size:
Piping Size j1pe
Building to tank 6,A iirt� t
Tank to Distribution Box Lill
Distribution Box t Fie /Pit
__gpening Sealed• Y/ /Partial
Location/Separations
Foundation to tank ft.
Foundation to absorption ft.
Separation of Pits ft.
Conforms as per Plot Plan Y N
Location of System on Property:
Front Rear Left Side ight Side
Middle Fro Middle Re
S stem 1<Jse St us:
Approved
Partial Approved and needs to be re-inspected,please call the Building&Codes Office
Disapproved
L:eSueHemingway\Building.Codes.Inspection.FORMS\Septic Inspection Report.doc January 28,2003
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"I have seen or observed, or believe I saw evidence of,
all objects such as houses, wells,trees, fences, etc.,
shown on this document. I also represent that I have
personally measured the distances set forth on the diagram."
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SIGNATURE DATE
I
I --
169 Haviland Road; Queensbury,NY 12804
Phone-518-745-4400 Fax -518-792-8511
October 5,2004
Project#49149
Mr. Jay Sweet
Queensbury Septic
PO Box 4283
Bay Road
Lake George,NY 12845
Re: Percolation Test
Krihak Residence- 1 Spruce Court, Queensbury,NY
Dear Jay:
At your request, on October 4, 20045 I performed a percolation test at.the Krihak residence
located at 1 Spruce Co in Queensbury. The test was performed to the east of the existing
residence in the location where construction of a replacement leach field is proposed.
The resultspf the testing are as follows:
Percolation Test
Stabilization percolation rate- 1"in 1 minute, 01 seconds
The test was run in the native sand at a depth of 24 inches in a 30 inch deep hole. The hole was
presoaked and the test was run 7 times until it stabilized with three consecutive runs of 1:00, 1:01
and 1:01 respectively.
The design flow for this 3 bedroom residence at 150 gallons per bedroom requires an absorption
area of 450 sf.-The kitchen sink and washing machine flow into an existing absorption system
consisting of a 1,000 gallon septic tank and 125 if of absorption trench in the rear of the
residence. The replacement bed for the front system should consist of an absorption bed with 300
sf of absorption area. Total absorption area will be 550 sf which will exceed the required 450 sf
of absorption area.
Please call me if you have any questions.
Sincerely,
Thomas R. Center Jr.,EI J